JEFFERY EVERETT SHIVELY

DETROIT, MI
NPI1750771747
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101Y00000X Counselor
Enumeration Date2015-01-28
Last Update Date2025-08-12
Business Address
Mr. JEFFERY EVERETT SHIVELY
12007 LINWOOD ST
DETROIT, MI 48206-1107
Phone number: 313-867-1090
Mailing Address
Mr. JEFFERY EVERETT SHIVELY
354 CHARTERHOUSE CT
CANTON, MI 48188-1520
Phone number: 734-625-4524